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Of Carri <br />er: <br />r Lv <br />onsignee: <br />L <br />,l 3 -1 _ <br />ination } <br />Qi <br />L C'= - <br />nnR S% <br />Zip Code <br />N07 NEGOTIABLE Shipper No. <br />Carriers No. pole _ 0 j W - 4 Z L <br />0�3-la <br />FROM Shipper: A �nwc.t�- l t 5"'^ �'` <br />Fc_j roc xxt 5 7 <br />g3g5,7-#ee-7- <br />T_1PS Z� Emer ency Response Phone No <br />(r,L� 76iy37-L <br />2 � <br />Vehicle No. <br />al Marks and EtrcaPsions <br />No. site Kusd of Package, Description of A t clams, Spec <br />l j ,n l Ae-ra5aI <br />L) A, 1950 <br />A,4-. <br />s }BARGES <br />•Weigh (sa6. b Core) RATE <br />X1/07 <br />C.O.D. FEE: PREPAID <br />C.O.D. PREPAID j COLLECT <br />ZEMft AM7: COl1ECT <br />O.D. To: meet `' `° be del v FREIGHT CHARGES <br />ADDRESS two �� 6y N0�. Where the rate is dependent m Volue, shippers are Su to to Section 7 of Condit ons, if this ship Check Appropriole Box: <br />of declared erect b the consignee wi1F out r statement <br />emu�n e Y she consrgnar, the wn- <br />If thn t ianan� Cowes b twee signor sholl sign the following shipment <br />w lhout p% <br />0 o water, the law requires that the required to stole spec hcolly in wnt ng the ag s hereby The carrier shall not make delivery of this ship <br />bill u d shall stab vhsethM it is 'carrier's value of <br />ggth reedproperty The <br />value of the lproperty,' me"t a{ freight and d all a tier charees. ❑Freight Prepaid U called <br />Or shippers weight". specif ca y doted by the shipper td be nos ceding <br />per tS'gnatun rynsig.orl ro described above in opponent goederden, <br />S Ompe deter bed in she Original Bill of lading, the P Pe ty <br />thederstood th ough° 114 s conhad as meonrn9lOry <br />its m�W" <br />d destined os :in above, v+hr ser came rvice to be perform eroun" <br />if on in roule, olhervrise ro deliver ro mother p carrier that "cry rn the o <br />RECEIVED, sub ed ro the Bassi{iWtions and lawfully Sired torifh in effect on rhe dote o{ a issue o e of soil destination, G- <br />under the controai) °groes to carry ro ib usual piece of C1.6 a y of on time interested in oil or any of said property, <br />"caps as not (contents and condition of contents of r the cont unknwrnL to Lorry Pants d ou ensu dent notion and as to each party _ , y <br />son or Corporation in possession of this property r over all or a ry P° 1 m Uniform Fre ght Classihwr ons in of{ect do the doe hereof, it Bus rs o roil or a roil water shipment, or (2) diKons� <br />oily agreed as to each <br />Carrier of all or any of, said 1 the ni ment, and the said terms an <br />rpn <br />der shall be subied to all Bre terms and Conditions a{ the Uniform Dourest c Stroighl Bill o{ Lading set {Orth I ) in the dossgication or tariff which govems the h` sparfat on of this a beg, <br />ulotion' jt sh <br />d bill of recti set fo th ` <br />cable moor wmer dossil;W ion of tariff if ?his is o motor cornier shipment. r Condition for tot on ccdr <br />Shipper herby cent,nes that he is fomiCor with all she to ms and conditions at the said and 1o6eled, and arf:,7-1 <br />` <br />hereby agreed to 6y the shipper and accepted br himself and y ClassiVinsmarked <br />described, Pa "This is to certify > of ase .bare named materials ora prop dyk Agent Per <br />Transporto6onti I <br />Shipper, Pe m Title 49 of Federal regulations. <br />X7 b igrsate Hazardous Matenal os defirsad SPORTING <br />Fore}daiTER1A15 <br />Permanent pa sI office address of shipper *MOS see ��ol <br />49 CFR, Part <br />Regulations 172 <br />